JENELLE DICKSON, LE
Specialist
Active
Individual
NPI: 1740866094
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | BAP-E-10254980 (OR) |
Frequently Asked Questions
NPI 1740866094 is the National Provider Identifier for JENELLE DICKSON, LE, a Specialist provider located in Springfield, OR. This NPI was enumerated on March 18, 2021.
JENELLE DICKSON, LE practices at 2942 FENYA ST, Springfield, OR 97477.
Quick Facts
- NPI
- 1740866094
- Type
- Individual
- Enumerated
- Mar 18, 2021
- Last Updated
- Jul 12, 2025
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